AJAY MISRA M.D.
NPI 1508832148
Specialist in Massapequa, NY

Active since February 24, 2006PECOS Enrolled
84.47/100
CMS Quality Rating
880 N BROADWAY, MASSAPEQUA, NY 11758(516) 541-0300 Get Directions Write a Review

NPPES record last updated: March 1, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ajay Misra M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AJAY MISRA M.D. (NPI 1508832148) is an individual specialist in Massapequa, New York, licensed in New York (189741) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508832148
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameAJAY MISRACredential: M.D.
Location Address880 N BROADWAYMassapequa, NY 11758-2351
Mailing Address880 N BroadwayMassapequa, NY 11758-2351 · (516) 541-0300 · Fax (516) 541-6390
Sole ProprietorNo
Enumeration DateFebruary 24, 2006
Last NPPES UpdateMarch 1, 2021
NPPES CertifiedMarch 1, 2021
✔ NPI 1508832148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 189741
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
880 N BROADWAY, Massapequa, NY 11758

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ajay Misra M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Ajay Misra reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cardiovascular Disease
3301 QUANTUM BLVD
Boynton Beach, FL 33426
  • Reassigned Medicare billing, New York enrollment
  • 7,712 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
880 N BROADWAY
MASSAPEQUA, NY 11758
Specialist
880 N BROADWAY
MASSAPEQUA, NY 11758
Acupuncturist
880 N BROADWAY
MASSAPEQUA, NY 11758
Psychiatry & Neurology (Neurology)
880 N BROADWAY
MASSAPEQUA, NY 11758

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ajay Misra's NPI number?

The NPI number for Ajay Misra is 1508832148. It was assigned to this individual provider in the NPPES registry on February 24, 2006.

Where is Ajay Misra located?

Ajay Misra practices at 880 N Broadway, Massapequa, NY 11758. The listed phone number is (516) 541-0300.

What is Ajay Misra's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Ajay Misra enrolled in Medicare?

Yes. Ajay Misra is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ajay Misra's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ajay Misra reassigns Medicare benefits to New York University (Boynton Beach, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ajay Misra's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ajay Misra was last updated on March 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.